<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label for="c-name" class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text" value="{$row.name|htmlentities}" data-rule="required">
        </div>
    </div>

    <div class="form-group">
        <label for="c-app_id" class="control-label col-xs-12 col-sm-2">{:__('app id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-app_id" class="form-control" name="row[app_id]" type="text" value="{$row.app_id|htmlentities}" data-rule="required">
        </div>
    </div>

    <div class="form-group">
        <label for="c-sdk_key" class="control-label col-xs-12 col-sm-2">{:__('sdk key')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sdk_key" class="form-control" name="row[sdk_key]" type="text" value="{$row.sdk_key|htmlentities}" data-rule="required">
        </div>
    </div>

    <div class="form-group">
        <label for="c-contacts" class="control-label col-xs-12 col-sm-2">{:__('Contacts')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-contacts" class="form-control" name="row[contacts]" type="text" value="{$row.contacts|htmlentities}" data-rule="required">
        </div>
    </div>

    <div class="form-group">
        <label for="c-mobile" class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" class="form-control" name="row[mobile]" type="text" value="{$row.mobile|htmlentities}" data-rule="required">
        </div>
    </div>

    <div class="form-group">
        <label for="c-count" class="control-label col-xs-12 col-sm-2">{:__('Count')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-count" class="form-control" name="row[count]" type="text" value="{$row.count|htmlentities}" data-rule="required">
        </div>
    </div>

    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>